Good morning! I'm looking at the potential revision from vsg to rny due to reflux. But I don't know what to do.

I was sleeved in 2010, apparently there was a small hiatal hernia that the surgeon did not fix, but no problems until I was pregnant in 2014/2015. My pcp referred me to get an endoscopy and it was shown I had a 3 cm hiatal hernia. My omeprazole was bumped up to twice a day and I still continued to have reflux. Went to my surgeon, I've since had another endoscopy, barium swallow, manometry, and bravo test. All have confirmed the reflux and shown no abnormalities otherwise.

I want to keep my sleeve. Surgeon wants to revise me to rny to resolve the reflux. Seems to me the hernia could be repaired without revising but surgeon says there's only a 50% chance it will help the reflux.

Has anyone repaired a hernia and then later needed a revision? Or should I go straight to rny, or insist I just want the hernia fixed? I'm feeling pressure to make a decision because I assume all these test results are only valid for a certain amt of time, and I definitely don't want to have to repeat any of them. I'm also afraid if I revise, I could potentially be trading one problem for another.

Good news!! Insurance has approved my surgery. I am just waiting on a surgery date from my Dr.

I'm sorry that you are having such a time of this. It's not at all unusual to examine and then re-examine all options when it comes to bariatric surgery. Revisions are even more of a sticky wicket and require even more research than virgin surgeries. Unless you have a medical reason requiring revision you are correct in proceeding very slowly.

Still though. There comes a time when we just have to stop the endless research and ruminating and make a decision. For the sake of your mental health if for no other reason.

If you are worrying to this extent and still feeling so unsettled I'd personally advise against another surgery right this very moment. Not forever. But maybe give yourself three to six months of following the instructions you'll have to follow anyway, whether you revise or not. Begin doing things like not drinking with meals, prioritizing protein in your eating plans, getting in a minimum 64oz of fluid, moving your body, journaling food and feelings, etc. After a few months you may your results are better than you could have imagined and decide you don't need a revision after all. Or you may decide to sign yourself right up.

So having said all that, could you please clarify how we can help you? You've got this previous thread from RnY Forum and some feedback given to that post. Are you looking for more information? just venting? wondering what other's have done and the results they've found?

We can help encourage and show what real life is like at any stage; we have many here who've had revisions and are very successful. This forum (Revision) doesn't get much traffic so you may want to head over and post in the main forum or even post again in the RnY space so you can get more feedback.

Good luck with however you choose.

Oh, and there is a forum here for losing regain. It's called Back on Track Together but I can never remember the link. It should come up in your OH search bar though.

Hi Carolyn,

I have been trying to call you to see how your removal surgery went but have only been able to get a message to call back. Please call me I am trying to do find out as much as I can before I make my final decision about having mine removed. And I must find a doctor. Last time I tried to post my phone number they kicked it back so I am going to spell the numbers to see if I can get it out there. (four, three, two) Five, two, eight - five, nine, two, zero.

Anybody who has any helpful information regarding the removal I would love to hear from you as well.

Did your insurance pay for it?